Pediatric Urinary Tract Infections

Urol Clin North Am. 2024 Nov;51(4):537-549. doi: 10.1016/j.ucl.2024.06.004. Epub 2024 Aug 20.

Abstract

Urinary tract infection (UTI) is frequent in the first year of life with bowel and bladder dysfunction, GU tract abnormalities, neurogenic bladder, and the intact prepuce conveying an increased risk. Urine culture is the gold standard for diagnosis. Antibiotics are tailored to resistance patterns. Guidelines have been established to direct the evaluation for GU anomalies but differ significantly. Bladder and bowel dysfunction is important to screen for and treat in potty-trained patients. Circumcised boys with febrile UTIs are more likely to have anatomic abnormalities than uncircumcised boys.

Keywords: Bladder bowel dysfunction; Circumcision; Posterior urethral valves; RBUS; Urinary tract infection; Vesicoureteral reflux.

Publication types

  • Review

MeSH terms

  • Anti-Bacterial Agents / therapeutic use
  • Child
  • Child, Preschool
  • Humans
  • Infant
  • Male
  • Urinary Tract Infections* / diagnosis
  • Urinary Tract Infections* / drug therapy
  • Urinary Tract Infections* / therapy

Substances

  • Anti-Bacterial Agents